2020
An integrated intervention for chronic care management in rural Nepal: protocol of a type 2 hybrid effectiveness-implementation study
Schwarz D, Dhungana S, Kumar A, Acharya B, Agrawal P, Aryal A, Baum A, Choudhury N, Citrin D, Dangal B, Dhimal M, Gauchan B, Gupta T, Halliday S, Karmacharya B, Kishore S, Koirala B, Kshatriya U, Levine E, Maru S, Rimal P, Sapkota S, Schwarz R, Shrestha A, Thapa A, Maru D. An integrated intervention for chronic care management in rural Nepal: protocol of a type 2 hybrid effectiveness-implementation study. Trials 2020, 21: 119. PMID: 31996250, PMCID: PMC6990567, DOI: 10.1186/s13063-020-4063-3.Peer-Reviewed Original ResearchMeSH KeywordsAlcohol DrinkingAllied Health PersonnelChronic DiseaseCommunity Health WorkersDecision Support Systems, ClinicalDisease ManagementHumansImplementation ScienceMedication AdherenceMotivational InterviewingNepalNoncommunicable DiseasesRisk Reduction BehaviorRural PopulationTobacco Use CessationConceptsHybrid effectiveness-implementation studyEffectiveness-implementation studyChronic care managementMid-level practitionersCare management interventionCommunity health workersCare managementMiddle-income countriesHealth workersChronic care management programWorld Health Organization PackageRisk factor optimizationClinical decision support toolEvidence-based careCare management programPrimary care systemRural NepalTobacco consumption levelsEvidence-based componentsMultiple comorbiditiesSecondary outcomesUniversal health coveragePrimary outcomeMedication adherencePre-post design
2019
Nepal Pioneer Worksite Intervention Study to lower cardio-metabolic risk factors: design and protocol
Shrestha A, Tamrakar D, Karmacharya BM, Shrestha A, Shrestha R, Bhatta RD, Pyakurel P, Khudyakov P, Malik V, Mattei J, Spiegelman D. Nepal Pioneer Worksite Intervention Study to lower cardio-metabolic risk factors: design and protocol. BMC Cardiovascular Disorders 2019, 19: 48. PMID: 30819098, PMCID: PMC6393979, DOI: 10.1186/s12872-019-1025-3.Peer-Reviewed Original ResearchMeSH KeywordsCardiovascular DiseasesDiet, HealthyExerciseFemaleFood ServicesHealth Knowledge, Attitudes, PracticeHumansMaleMetabolic SyndromeNepalOccupational Health ServicesPatient Education as TopicProtective FactorsRandomized Controlled Trials as TopicRisk FactorsRisk Reduction BehaviorTime FactorsTreatment OutcomeConceptsCardio-metabolic riskWorksite intervention studiesIntervention studiesBlood sugarCardiovascular disease prevention effortsPrevention programsCardio-metabolic risk factorsBehavioral interventionsCardio-metabolic outcomesTrial registrationThe trialElevated blood pressureDiabetes Prevention ProgramCardiovascular disease burdenProportion of participantsDisease prevention effortsHealthy food choicesChi-square testEnvironmental-level changesIndividual behavioral interventionsDhulikhel HospitalBlood pressureDietary interventionPre-post designLifestyle factorsDisease burden